North East Valley DGP eNews

No 1225: July 18, 2012
eNews is a weekly electronic newsletter sent to all GP practices (with email addresses) within the NEV catchment. The aim is to provide up to date information relevant to GPs and to disseminate the latest activities and resources from the division. All feedback and enquiries welcome and should be addressed to Patty Marshall. You can also visit our website at: http://www.nevdgp.org.au/.
To subscribe to eNews click on subscribe. To be removed from the eNews distribution list click on Unsubscribe

 

In this issue:

Editorial                                                A Word from the Editor       

Australian Doctor Articles                  Recording medications accurately

Professional Development                 CPD events   

Immunisation                                       HPV Vaccine Extended to Boys        

Information Management                  The importance of keeping Past Medical History up to date, Medical Director Tips

Items of interest                                  New Medicare Benefits Schedule, Advance Care Planning News, RACGP invites feedback on 22 proposed clinical indicators, GP Network News    

Mental Health                                      Psychologist Accepting New Patients          

Paediatrics                                           Children with Physical Disability and Their Families - the things we don't talk about

Positions vacant/wanted                            

Fun stuff                                                        

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A Word from the Editor

Try Our Painless Practice Audit – First In Best Dressed

In last week’s editorial we suggested that practices may wish to take advantage of an “audit” of their clinical information in Medical Director, more specifically looking at progress notes, past history, medications, investigations, measurements, and allergies and warnings. The audit is specifically aimed at helping practices prepare for re-accreditation and the PCeHR as well as just having better record keeping habits, making it easier for your colleagues to understand what has gone on before...

... and just saving or improving the healthcare of the odd patient here and there!

The initial response from practices was very pleasing with Noel being run off his feet over the next few weeks. This free service has only been offered through the eNews so those readers will have first dip before we advertise on a wider basis (but only to those within the NEVDGP catchment).

We are going to expand the audit just a little bit to include an additional section using PEN Clinical Audit Tool where we will do a data quality report on allergies, smoking, diabetes measures and metrics (BP, BMI, waist), both for the whole practice and the individual GP.

Call or email Noel at the Division on 9496 4333 to take advantage of this as we are fairly sure that other GP practice support organisations don’t or can’t offer such a service.

 

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Australian Doctor Articles

Recording medications accurately

In this new section we are re-visiting some of the articles written by Noel for Australian Doctor over the last 5 years. The second of these comes from 2007, a long time ago, but the message is still as relevant now as it was then. It is all about accurately recording medications. If some GPs in the practice would benefit from reading the full article please print it and give it to them.

The medication list in any clinical software must reflect the patient’s current medication, including the correct strength, dosage, frequency, instructions and number of repeats. All too often the medication list is inaccurate so that other health providers, especially specialists, complain about the accuracy of the clinical information in GP referrals, plans and assessments. [Full article].

 

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Continuing Professional Development

St Vincent’s Pain Management Education

The Barbara Walker Pain Management Centre at St Vincent’s is once again running a series of 3 workshops for GPs. These workshops have been very well received in previous years and places fill quickly. These can be attended as a series of 3, or as individual workshops.

For all information and registration details, go to: www.svhm.org.au/gp or see Flyer

 

Confronting Chronic Pain: Self Management Is Easy To Say, But What Works?
To mark National Pain Week (22-28 July), you are invited to participate in an Arthritis Victoria webinar Wednesday 25th July 12:30pm Register here.

 

Lymphoma, Leukaemia and Other Haematological Cancers

Late effects of cancer treatment; What GPs need to know.

Saturday 4 August 9.30am – 1.30pm at Brockhoff Theatre 3rd Floor, Peter MacCallum Cancer Centre, St Andrews Place, East Melbourne.

Registration & flyer

 

Smokefree Healthcare Services - Taking the next steps

A forum for Victorian healthcare services on Friday 17 August  9.30am – 1.00pm at AMREP Seminar Room, The Alfred, Ground Floor, 55 Commercial Road, Melbourne. Registrations are open to all Victorian healthcare services, including those in the public and private sector, as well as other stakeholders. Please register by Friday 10th August. Flyer

The newly launched website (www.smokefreevictoria.com.au) provides further information about the network, membership, training, resources and the latest news and events.

 

Genetics and medical prevention in cancer for GPs

Are you giving patients current and correct information? Saturday 8 September 10-12 noon (registrations at 9.30am) at John Lindell Lecture Theatre, 4th Floor, Lance Townsend Building, 145 Studley Road, Heidelberg. Flyer

 

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Immunisation

HPV Vaccine Extended to Boys
In a world first, Australian schoolboys will be able to get the successful Gardasil® vaccine, which will protect them against developing a range of cancers and bolster the effectiveness of this vaccine in women. See media release

 

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Information Management

The importance of keeping Past Medical History up to date

HCN provided quite a useful article in this week’s newsletter. Entitled “Why is keeping the practice's Past Medical History up to date important?” it goes on to say:

“Keeping patient data - in particular a patient's past medical history - up to date and consistent is paramount to fulfilling certain accreditation criteria, and the foundation for achieving effective eHealth outcomes in the future”. For the full article click here.

 

Medical Director Tip - Adding an unrecorded previous pregnancy and birth

When it comes time to add a previous pregnancy complete the following steps:

1.      Click on the Obstetric tab and then click on the Past pregnancy tab

2.      Fill out the details and click on Save.

Note: Once you add the baby’s name and other details s/he is added to the patient database.

 

This week’s IM problem - Do CAT extracts include inactive patients?

Question: Our practice is in a southern NSW beach resort and in summer we have a lot of one off patients with injuries such as an oyster cut to the foot. As soon as we patch them up and bill them we make them inactive. When the PEN Clinical Audit Tool does a search, does it include inactive patients? We don’t want it to as that would “taint” our statistics.

Answer: By default the CAT does not include archived or deceased patients, so you are “safe” as only “active” patient data is collected. However you can change this when you have a need. For example, practices submitting data for the National KPI report will need to extract additional patients to meet the population base required for the report. The report requires that all patients who have visited the practice in the last 2 years should be included. This definition includes archived and deceased patients.

The NKPI Report will include the additional patients and this will be noted at the top of the report.

  1. From the CAT Edit menu, select Preferences
  2. Select your clinical software (MD or BP only.)
  3. From the Extract Archived and Deceased Patients drop down menu select Yes.

 

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Items of Interest

New Medicare Benefits Schedule – July 1, 2012

An update and interpretation on all things Medicare from Peter Larter of Peter Larter Consulting. Click here.

 

Advance Care Planning News

The Victorian Department of Health has recently developed Advance Care Planning web pages: http://www.health.vic.gov.au/acp/.  This site includes general information about Advance Care Planning and useful links and resources. Most recently added are ‘Frequently Asked Questions’ that cover everything from ‘What is Advance Care Planning?’ toAre common law Advance Care Directives regarding future medical treatment legally binding documents?’. A link to this site and other useful advance care planning information can be found on the Northern Health internet.

For more information call Anne Marie Fabri (NH ACP Program Manager) on 9495 3235 or email acp@nh.org.au.

 

RACGP invites feedback on 22 proposed clinical indicators

The Royal Australian College of General Practitioners (RACGP) is calling for stakeholder feedback on a provisional set of 22 clinical indicators dealing exclusively with the safety and quality of clinical care provided by Australian general practice.

The provisional set of clinical indicators are designed to complement existing practice indicators and patient experience indicators that form the RACGP Standards for general practices (4th Edition).

The RACGP welcomes comments on the proposed clinical indicators by Monday 30 July 2012. For details on how to comment, or to view the frequently asked questions (FAQs) sheet, visit www.racgp.org.au/clinicalindicators.

 

GP Network News

This week’s edition includes: Family Doctor Week: Celebrating local family doctors; More Than Just A Union – A History of the AMA; AMA Safe Hours Audit 2011; Review of Anticoagulation Therapies in Atrial Fibrillation; HPV vax Gardasil for boys; Email the AMA; Post new comment to the website.

 

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Mental Health

Psychologist Accepting New Patients

Laura Humphreys has commenced private practice at The Melbourne Clinic in Richmond. Her special areas of interest are intellectual/neuropsychological assessment and the use of psychological interventions to help manage co-morbid cognitive and psychological symptoms.  Referrals may be faxed to (03) 8678 0645, or discussed on (03) 9420 1477 or 0429 007 838.

 

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Paediatrics

Children with Physical Disability and Their Families - the things we don't talk about

The Royal Children’s Hospital Developmental Medicine is proud to host its annual seminar on Friday 17 August 9am- 3pm (8.30am registration) at The new Royal Children’s Hospital.

Presentations will cover: Anxiety and depression in children with physical disabilities; Sexual rights and responsibilities; Mental health of mothers; The experience of siblings, and Considerations for comfort and care.

To register and more information – click here. For enquires please phone 9345 5898 or email education.seminars@rch.org.au

 

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Positions vacant/wanted

Please note: only new ads or resubmitted ads will be posted here. All other ads can be found on the website

 

Positions vacant

Doctors

Ascot Vale - GP wanted Full Time or Part time to replace retiring female GP.  Excellent opportunity to take over existing client base and high growth available for a modern, computerised and well established general practice.  Offering flexible working hours, with excellent remuneration and friendly, supportive staff.  For further details Please email your interest to avvmc41@gmail.com

 

Northcote – F/T P/T VR GP or Subsequent Trainee GP position. Fully accredited, computerised, long established doctor owned practice in a new purpose built facility with a fabulous work environment. Ancillary Health, Pharmacy and Pathology services on site. Inquiries Diane Cronin (Practice Manager) 9481 1214. Visit our website www.doctorsofnorthcote.com.

 

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Humour

Australian Etiquette
In General
1. Never take an open stubby to a job interview.
2. Always identify people in your paddocks before shooting at them.
3. It's tacky to take an Esky to church.
4. If you have to vacuum the bed, it's time to change the sheets.
5. Even if you're certain you're included in the will, it's rude to take your ute and trailer to the funeral.
Dining Out
1.
When decanting wine from the box, tilt the paper cup and pour slowly so as not to bruise the wine.
2. If drinking directly from the bottle, hold it with only one hand.
Entertaining In Your Home
1.
A centrepiece for the table should never be anything prepared by a taxidermist.
2. Don't allow the dog to eat at the table, no matter how good his manners.

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And remember

 

            … One nice thing about egotists: they don’t talk about other people.